عرض تقديمي في powerpoint - ypeda.com 2017.pdf · renal tubular acidosis diarrhea...
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ABG
Interpretations
Collected by
Dr. MOHAMMED AQLAN
PEDIATRICIAN– UNVERSITY HOSPITAL , Sanaa
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HCO3 mEq/L PaCO2 mmHg PaO2 mmHg PH
14-22 49.2+- 8.4 18 +- 6.2 7.28 +- 0.05
Cord blood
13-22 27-40 8-24
7.11 – 7.36 At birth
13-22
27-40
33-75
7.09- 7.3 5-10 min
13-22
27-40
31-85
7.21– 7.38 30 min
13-22
27-40
55-80
7.26- 7.49 60 min
13-22
27-40
54-95
7.29-7.45 1 day
20-28 32-48 83-108
7.35-7.45 Thereafter
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:)Base Excess(BE) / Base Deficit (BD
Normal range -2-2
Positive (excess) (> +2mmol/L) indicates that there is a higher than normal amount of HCO3- in the blood, which may be due to a primary metabolic alkalosis or a compensated respiratory acidosis.
Negative(deficit (< -2mmol/L) indicates that there is a lower than normal amount of HCO3- in the blood, suggesting either a primary metabolic acidosis or a compensated respiratory alkalosis.
Predicted PH:
-If PaCO2<40= 7.4[(40- PaCO2)/100] ×0.5
- If PaCO2>40= 7.4[(40+ PaCO2)/100]
- BD or BE= ( PH – predicted PH) ×67
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STEP 1
Acidosis or alkalosis.
see PH
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STEP 2
Respiratory or metabolic
(primary pathology).
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STEP 3
Is there is
compensation
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STEP 3
Is there is
compensation
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RCA 101
RKA102
RCC103
RKC104
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Correction always in same direction
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STEP 4
If metabolic acidosis –
High AG or normal AG
M ethanol
U remia
D iabetic Ketoacidosis
P araldehyde
I nfection (lactic acid)
E thylene Glycol
S alicylate
MUD-PIELS
Hyper Alimentation
Acetazolamide
Renal Tubular Acidosis
Diarrhea
Ureterosibmoidostomy
Pancreatic Fistula
Primary Hyperparathyroidism
HARD-UPP
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1
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ABG in OSCE EXAM
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1
pH 7.28
PaCO254mmHg
PaO2 45mmHg
HCO3 29mEq/L
Base excess +7
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What are the-
Abnormalities?
Diagnosis?
Likely causes?
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Low pH, high PaCO2, low PaO2, high HCO3
Uncompensated respiratory acidosis with hypoxemia
RESPIRATORY FAILURE (pneumonia, RDS)
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2
pH 7.57
PaCO2 22mmHg
PaO2 156mmHg
HCO3 18mEq/L
Base excess -8
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What are the-
Abnormalities?
Diagnosis?
Likely cause?
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High pH, low PaCO2, high PaO2, low HCO3
UNCOMPENSATED RESPIRATORY ALKALOSIS WITH
HYPEROXIA
Hyperventilation with high FiO2
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3
pH 7.32
PaCO2 30mmHg
PaO2 70mmHg
HCO3 12mEq/L
Base excess -8
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QUESTIONS
ABNORMALITIES
DIAGNOSIS
LIKELY CAUSES
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• Low pH, low PaCO2, normal PaO2, low
HCO3
• UNCOMPENSATED METABOLIC ACIDOSIS
• SHOCK, RENAL FAILURE
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4
pH 7.60
PaCO2 21mmHg
PaO2 65mmHg
HCO3 24mEq/L
Base excess +2
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QUESTIONS
ABNORMALITIES
DIAGNOSIS
LIKELY CAUSES
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High pH, low PaCO2, normal PaO2, normal HCO3
UNCOMPENSATED RESPIRATORY ALKALOSIS
HYPERVENTILATION (BRONCHIAL ASTHMA)
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5
pH 7.36
PaCO2 70mmHg
PaO2 75mmHg
HCO3 35mEq/L
Base excess +14
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QUESTIONS
ABNORMALITIES
DIAGNOSIS
LIKELY CAUSES
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Low pH, high PaCO2, normal PaO2, high HCO3
COMPENSATED RESPIRATORY ACIDOSIS
VENTILATED INFANT WITH TUBE BLOCK
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6
pH 7.52
PaCO2 47mmHg
PaO2 80mmHg
HCO3 30mEq/L
Base excess +3
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QUESTIONS
ABNORMALITIES
DIAGNOSIS
LIKELY CAUSES
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High pH, high PaCO2, normal PaO2, high HCO3
UNCOMPENSATED METABOLIC ALKALOSIS
VOMITING, PYLORIC STENOSIS
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7
pH 7.14
PaCO2 54mmHg
PaO2 55mmHg
HCO3 14 mEq/L
Base excess -7
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QUESTIONS
ABNORMALITIES
DIAGNOSIS
LIKELY CAUSES
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Low pH, high PaCO2, normal PaO2, low HCO3
UNCOMPENSATED RESPIRATORY AND METABOLIC
ACIDOSIS
INFANT ON VENTILATOR WITH TUBE BLOCK & SHOCK
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STATION 2
DATA
STATION 1
SLIDES
STATION 4
COMUNICATION 2
STATION 3
COMUNICATION 1
STATION 2
EMERGENCY
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STATION 2
HISTORY 2
STATION 1
HISTORY 1
STATION 4
EXAMINATION 2
STATION 3
EXAMINATION 1
STATION 2
DEVELOPMENT
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Thank You